Every payer — federal, state, or commercial — operates a provider network that is only as trustworthy as the enrollment information behind it.

The challenge is that most of that information is self-reported, rarely independently verified, and aging the moment it is submitted.

Beyond the First Layer: A Five-Layer Verification Model. Standard provider oversight operates at the surface — confirming a provider is present at an address and that basic enrollment data appears complete. We operate differently, before a single inspector is deployed, we have already identified what doesn't add up on paper. Ultimately, when we leave, we hand the client much more than a site visit report.

Applicable Across All Program Types (Nationwide). Our program integrity model is not limited to federal Medicare work. The same field infrastructure, analytics capability, and regulatory expertise applied under active federal contracts translates directly to state Medicaid programs, Medicare Advantage plans, and commercial payers seeking compliant, accurate, fraud-resistant provider networks.

Three Structured Deliverables from Every Completed Investigation. Three documents that together give the client more than it currently has on any enrolled provider in these categories-not simply site visit checklist or leads for someone else to pursue.

Our field operations and analytics have concentrated experience with the Highest-Risk Provider types that represent disproportionate Fraud, Waste, and Abuse risk across all program types.

From Data to Action, our Program Integrity process moves from initial analytics to enforceable outcomes.